Organization · Type 2 NPI
Rogue Medical LLC
Medical Physician Assistant · Phoenix, OR
NPI number
1265298400
Active
Practice location
205 N Phoenix Rd Ste 430
Phoenix, OR 97535-9108
Fax (541) 833-0995
Mailing address
205 N Phoenix Rd
Phoenix, OR 97535-9101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
| Surgical Physician Assistant | 363AS0400X | None listed |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1265298400
Rogue Medical LLC's National Provider Identifier is 1265298400, issued on Feb 26, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, OR. The record was last updated on Feb 26, 2024.